Active NPI
Bogdan Leszek Nowakowski, MD
- Pulmonary Disease Physician
- Gonzales, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 12969R
- Practice address
- 1429 E. Highway 30
Gonzales, LA 70737 - Phone
- (225) 647-6900
- Fax
- (844) 766-1659
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12969R | LA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 12969R | LA | |
| Pulmonary Disease Physician | 207RP1001X | 12969R | LA | Primary |
Addresses
Primary practice location
1429 E. Highway 30
Gonzales, LA 70737
Mailing address
P.O. Box 400
Brittany, LA 70718-0400
Phone (225) 647-6900
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1555100 | Medicaid | LA | |
| 7014046 | Other | LA | AETNA POS/PPO |
| G1360 | Other | LA | BLU CROSS 5 DIGIT |
| 48-00155 | Other | UCH | |
| 72-1498557001 | Other | LA | CIGNA |
| 2215329 | Other | LA | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1429 E Hwy 30
Gonzales, LA 70737-4765
Phone (225) 229-9377
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12969R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Rite PSG LLC | Current | Accepting new patients | |
| Pulmonary & Digestive Clinic Inc | Pulmonary Disease | Current | Accepting new patients |
| Sleep Clinic LLC | Past | Accepting new patients | |
| Sleep Rite DME, LLC | Past | Accepting new patients |
Locations
8251 Summa Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 766-5656
1429 E Highway 30
Gonzales, LA 70737
Phone (225) 229-9377
14076 Highway 44
Gonzales, LA 70737
Phone (225) 647-6900
3216 N Turnbull Dr
#B
Metairie, LA 70002
Phone (504) 373-6717
8814 Veterans Memorial Blvd
#3304
Metairie, LA 70003
Phone (225) 766-5656
Interoperability endpoints
- bogdan.nowakowski.1@12094.direct.athenahealth.com
- https://api.platform.athenahealth.com/12094/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Gonzales, LA
- NPI 1578776050
Pulmonary Disease
-
dba Sleep Rite
- Sleep Disorder Diagnostic Clinic/Center
- Metairie, LA
- NPI 1497191506
-
- Endoscopy Clinic/Center
- Gonzales, LA
- NPI 1013178417
-
- Sleep Disorder Diagnostic Clinic/Center
- Gonzales, LA
- NPI 1407997901
-
- Durable Medical Equipment & Medical Supplies
- Metairie, LA
- NPI 1184579450
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lutcher, LA
- NPI 1588654966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1659476265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 400",
"city": "BRITTANY",
"state": "LA",
"postal_code": "707180400",
"telephone_number": "225-647-6900",
"fax_number": "844-766-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 E. HIGHWAY 30",
"city": "GONZALES",
"state": "LA",
"postal_code": "70737",
"telephone_number": "225-647-6900",
"fax_number": "844-766-1659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAKOWSKI",
"first_name": "BOGDAN",
"middle_name": "LESZEK",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "12969R",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "LA",
"license": "12969R",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "LA",
"license": "12969R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1555100",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA POS/PPO",
"identifier": "7014046",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLU CROSS 5 DIGIT",
"identifier": "G1360",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCH",
"identifier": "48-00155",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "72-1498557001",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2215329",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, LA
- Bo L Nguyen
- Thu Anh Nguyen
- Hugh B Nobile, MSW, LCSW
- Northland Hearing Centers Inc (Sears Hearing Aid Centers)
- Northland Hearing Centers, Inc. (Audibel Hearing Center)
- Taylor Nunez
- Nursing Solutions of la LL C
- Nursing Solutions of la, LLC
- Nursing Solutions of la, LLC
- Ochsner Clinic LLC (Ochsner Urgent Care & Occupational Health Lagniappe Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.